Table 4 |
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Process indicators and minimum acceptable levels for Safe Motherhood monitoring |
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Key questions |
Indicator |
Minimum acceptable level |
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I. Coverage 1. Is emergency obstetric care (EmOC) available and reasonably distributed? |
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A. Amount of emergency obstetric care (EmOC): |
For every 500,000 population, there should be: |
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Basic EmOC facilities |
At least 4 Basic EmOC Facilities |
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Comprehensive EmOC facilities |
At least 1 Comprehensive EmOC facility |
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B. Geographical distribution of EmOC Facilities |
Minimum level for amount of EmOC services is met in sub-national areas |
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2. Are the women using maternity services at basic and comprehensive EmOC facilities? |
C. Proportion of all births in Basic and comprehensive EmOC facilities |
At least 15% of all births in the population take place in either Basic or Comprehensive EmOC facilities |
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3. Are the women who really need EmOC services using these services? |
D. Met need for EmOC – Proportion of women estimated to have complications who are treated in EmOC facilities |
At least 100% of women with obstetric complications (estimated as 15% of births) are treated in EmOC facilities |
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E. Quantity of critical services Caesarean sections as a percentage of all Births |
As a proportion of all births in the population, Caesarean sections account for not less than 5% nor more than 15% |
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II. Performance 4. Is treatment successful? |
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F. Quality of care Case fatality rate |
The case fatality rate among women with obstetric complications in comprehensive EmOC facilities is less than 1% |
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Evjen-Olsen et al. International Journal for Equity in Health 2009 8:27 doi:10.1186/1475-9276-8-27 |
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